Pennsylvania
Department of State
TRACY MELLOTT BLACK
Graduate Practical Nurse Permit
License number
TGPN009219
Date granted
10/08/2002
Date expires
09/30/2003
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Mc Connellsburg PA 17233
palicensing.org
ID 37708812
LAST UPDATED 2024-05-26 10:51:13 UTC
LAST UPDATED 2024-05-26 10:51:13 UTC
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